@layout("/common/_form.html",{js:["/assets/btyWmtxl/btyWmtxl_add.js"],css:["/assets/expand/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="btyWmtxlForm" lay-filter="btyWmtxlForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label"><span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="id" name="id" placeholder="请输入" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">饿了么店名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="elm" name="elm" placeholder="请输入饿了么店名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">美团店名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="mt" name="mt" placeholder="请输入美团店名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">美团团购店名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="mttg" name="mttg" placeholder="请输入美团团购店名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">妖码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="yaoma" name="yaoma" placeholder="请输入妖码" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">标志<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="flag" name="flag" placeholder="请输入标志" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}